Samy Mohamed A, Darwish Amr E
Acta Orthop Belg. 2017 Jun;83(2):292-296.
The aim of this study was to evaluate the clinical and radiological results of fixation of clavicle alone in floating shoulder injury. From 2007to 2011 thirteen patients with floating shoulder injury (ipsilateral clavicle and scapular neck fracture ) were treated by isolated fixation of the clavicle by plate osteosynthesis. Assessment of the shoulder function was performed using the university of California at Los Angeles (UCLA) shoulder rating scale .The mean duration of follow up period was 24.3 months .All the fractures were united , fractures of the clavicle united from 11to 16 weeks after surgery and that of scapula from 12to16 weeks . The overall UCLA shoulder rating scale was 32.3 (range from 30-34) . Isolated plate fixation of clavicle fracture in floating shoulder injuries results in high rates of both clavicular and scapular fracture healing provided the integrity of coracocla-vicular ligament and involvement of the coracoids process with the distal scapular fragment .
本研究的目的是评估单纯固定锁骨治疗漂浮肩损伤的临床和影像学结果。2007年至2011年，13例漂浮肩损伤（同侧锁骨和肩胛颈骨折）患者采用钢板内固定术单纯固定锁骨进行治疗。使用加利福尼亚大学洛杉矶分校（UCLA）肩关节评分量表对肩部功能进行评估。平均随访时间为24.3个月。所有骨折均愈合，锁骨骨折在术后11至16周愈合，肩胛骨骨折在12至16周愈合。UCLA肩关节评分量表总分平均为32.3分（范围为30 - 34分）。只要喙锁韧带完整且喙突与肩胛远端骨折块相连，单纯钢板固定漂浮肩损伤中的锁骨骨折可使锁骨和肩胛骨骨折均获得较高的愈合率。
